NEEDLE PLACEMENT MANIPULATOR WITH TWO ROTARY GUIDES

• US 20140275979A1
• Filed: 03/15/2013
• Published: 09/18/2014
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Brigham and Women's Hospital Incorporated, Canon USA, Inc. (Canon Inc.)
• Original Assignee: Brigham and Women's Hospital Incorporated, Canon USA, Inc. (Canon Inc.)
• Inventors: Tokuda, Junichi, Song, Sang-Eun, Fujimoto, Kosuke, Arimitsu, Yasumichi, Hata, Nobuhiko
• Granted Patent: US 9,222,996 B2
• Time in Patent Office: Days
• US Class Current: 600/422
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 2017/3409 including needle or instrument drives
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: G01R 33/286 involving passive visualization of interventional instruments, i.e. making the instrument visible as part of the normal MR process

Abstract

A needle placement manipulator includes, a pair of rotary guides arranged at a slanted angle with respect to each other, a needle holder which holds a needle along a needle holder axis, and a base body on which the guides are supported. The needle holder axis and each axis of the rotary guides cross at a single point located at or below the base body. The base body is configured to be attached to a patient or to an RF-coil.

Claims

1. A needle placement manipulator comprising:

a first ring shaped rotary guide;

a first rotation body which is fixed to said first ring shaped rotary guide;

a second ring shaped rotary guide attached to the first rotation body, the second ring shaped rotary guide being movable along with the first rotation body;

a second rotation body which is fixed to said second ring shaped rotary guide;

a needle holder which is fixed to the second rotation body and holds a needle along an axis, the needle holder being movable along with the second rotation body;

wherein a rotational axis of the first rotary guide and a rotational axis of the second rotary guide are slanted with respect to each other, and

wherein the rotational axis of the first rotary guide, the rotational axis of the second rotary guide, and the needle holder axis cross each other at one point.

2. The needle placement manipulator according to claim 1 further comprising:

a base body which is fixed to the first ring shaped rotary guide.

3. The needle placement manipulator according to claim 2, wherein the base body includes plurality of slits for fastening belts.

4. The needle placement manipulator according to claim 2, wherein the base body has a height adjusting mechanism which includes fitting portion at which the base body is fitted to the rotary guide and can be slided in perpendicular direction to each other, and fixing mean which fix the rotary guides to the base body.

5. The needle placement manipulator according to claim 1, further comprising a fixing mechanism configured to fix rotation of at least one of the rotary guides.

6. The needle placement manipulator according to claim 5, wherein the fixing mechanism includes at least a set-screw.

7. The needle placement manipulator according to claim 5, wherein the fixing mechanism includes at least one air clutch configured to release rotation of at least one of the rotary guides by air-supply.

8. The needle placement manipulator according to claim 1, further comprising at least one fiducial marker arranged in at least one of the base body, the first rotary guide or the second rotary guide.

9. The needle placement manipulator according to claim 1, further comprising a position sensor which detects rotational displacement of at least one of the rotary guides.

10. The needle placement manipulator according to claim 9, wherein the position sensor comprises an optical sensor.

11. The needle placement manipulator according to claim 10, wherein the position sensor comprises an optical fiber cable.

12. The needle placement manipulator according to claim 1, further comprising an actuator arranged to rotate at least one of the rotary guides.

13. The needle placement manipulator according to claim 12, wherein the actuator is actuated by piezoelectric material.

14. The needle placement manipulator according to claim 13, wherein the piezoelectric actuator includes:

a piezoelectric vibrator which includes piezoelectric material,

a rotary slider which contacts piezoelectric vibrator,

a pressurized mechanism which pressurizes the piezoelectric vibrator and rotary slider against each other.

15. The needle placement manipulator according to claim 14, wherein the piezoelectric vibrator and rotary slider are both of a circular ring shape.

16. The needle placement manipulator according to claim 14, wherein the piezoelectric vibrator includes piezoelectric material which expands or shrinks in volume by applying electric voltage thereto, and a vibrator body to which piezoelectric material is fixed.

17. The needle placement manipulator according to claim 16, wherein the vibrator body includes ceramic material comprising at least one of alumina, zirconia and partially stabilized zirconia.

18. The needle placement manipulator according to claim 14, wherein the rotary slider includes resin or plastic material.

19. The needle placement manipulator according to claim 1, wherein the first ring shaped rotary guide includes a first part and a second part movable relatively to each other, and

wherein the first rotation body is fixed to the first part of the first ring shaped rotary guide,

wherein the second ring shaped rotary guide includes a first part and a second part movable relative each other,

wherein the second part is fixed to the first rotation body, and the second rotation body which is fixed to the first part of the second ring shaped rotary guide.

20. The needle placement manipulator according to claim 19, further comprising:

a first piezoelectric vibrator that is arranged in the second parts of the first rotary guide;

a second piezoelectric vibrator that is arranged in the second parts of the second rotary guide;

a first rotary slider which is frictional contact with first piezoelectric vibrator and is arranged in the first parts of the first rotary guide;

a second rotary slider which is in frictional contact with second piezoelectric vibrator and is arranged in the first parts of the second rotary guide.

21. The needle placement manipulator according to claim 1,

wherein the first ring shaped rotary guide which includes first part and second part relatively movable to each other, and the first rotation body which is fixed to said the first part of the first ring shaped rotary guide, and the second ring shaped rotary guide which includes first part and second part relative movable each other, and second part is fixed to said first rotation body, and the second rotation body which is fixed to the first part of the second ring shaped rotary guide,

further comprising:

a first optical light source and detector is arranged into said second parts of the first rotary guide;

a second optical light source and detector is arranged into said second parts of the second rotary guide;

a first optical scale which reflects light of said first optical light source and detected by detector is arranged into said first parts of the first rotary guide;

a second optical scale which reflects light of said second optical light source and detected by detector is arranged into said first parts of the second rotary guide;

22. The needle placement manipulator according to claim 1,

wherein the first ring shaped rotary guide which includes first part and second part relatively movable to each other, and the first rotation body which is fixed to said the first part of the first ring shaped rotary guide, and the second ring shaped rotary guide which includes first part and second part relative movable each other, and second part is fixed to said first rotation body, and the second rotation body which is fixed to the first part of the second ring shaped rotary guide,

further comprising:

a first piezoelectric vibrator is arranged into said second parts of the first rotary guide;

a first optical light source and detector is arranged into said second parts of the first rotary guide;

a second piezoelectric vibrator is arranged into said second parts of the second rotary guide;

a second optical light source and detector is arranged into said second parts of the second rotary guide;

a first rotary slider which frictionally contact with first piezoelectric vibrator is arranged into said first parts of the first rotary guide;

a first optical scale which reflects light of said first optical light source and detected by detector is arranged into said first parts of the first rotary guide;

a second rotary slider which frictionally contact with second piezoelectric vibrator is arranged into said first parts of the second rotary guide;

second optical scale which reflects light of said second optical light source and detected by detector is arranged into said first parts of the second rotary guide;

23. The needle placement manipulator according to claim 1, wherein the two rotary guides and rotation body are made of non-metal materials.

24. The needle placement manipulator according to claim 1, wherein one of the first and second ring-shaped rotary guides has a diameter smaller than the other.

25. The needle placement manipulator according to claim 1, wherein the second ring-shaped rotary guide is arranged inside or outside of the first ring-shaped rotary guide.

26. The needle placement manipulator according to claim 1,

wherein the rotational axis of the first ring-shaped rotary guide is inclined with respect to the rotational axis of the second ring-shaped rotary guide at an angle θ

1;

wherein the needle holder axis is inclined with respect to the rotational axis of the second ring-shaped rotary guide at an angle θ

2; and

wherein the needle holder axis is configured to be positioned with respect to the rotational axis of the first ring-shaped rotary guide at an angle θ

_needle which satisfies the following condition;

0≦

θ

_needle≦

θ

1+θ

2.

27. The needle placement manipulator according to claim 1,

wherein the rotational axis of the first ring-shaped rotary guide is fixed and the rotational axis of the second ring-shaped rotary guide is configured to precess around the rotational axis of the first ring-shaped rotary guide at an angle θ

1,

wherein the needle holder axis is configured to rotate around the rotational axis of the second ring-shaped rotary guide at an angle θ

2, and

wherein the needle holder axis is configured to be positioned with respect to the rotational axis of the first ring-shaped rotary guide at a maximum inclination angle θ

3=θ

1+θ

2.

28. A needle positioning system comprising:

a needle placement manipulator according to claim 1;

a MRI-system configured to acquire an image of a target region of a body, an image of the needle placement manipulator and an image of a needle disposed in the needle placement manipulator;

a image guide system configured to indicate a needle position and orientation with respect to the target region of the body;

a manipulator controller configured to receive the needle position and orientation from the image guide system, and to calculate control signals for driving the needle positioned in the needle placement manipulator to the target region of the body; and

an actuator controller configured to receive the control signals from the manipulator controller, and to supply the control signals to a rotation actuator and a position sensor included in the rotary guides, so as to move the needle positioned in the needle placement manipulator to the target region of the body.

29. The needle positioning system according to claim 28, further comprising:

an RF-coil configured to transmit a probe RF-signal from the MRI-system to the body, and to transmit a response RF-signal from the body to the MRI-system.

30. The needle positioning system according to claim 28, further comprising:

an RF-coil attachment structure configured to attach the needle placement manipulator to an RF-coil,

wherein the needle placement manipulator is configured to be attached to the body with the RF-coil disposed therebetween.